肛肠科使用镇痛泵患者留置导尿管期间中西医结合的循证护理  

Evidence-based nursing of integrated Traditional Chinese and western medicine for patients with analgesia pump in the period of indwelling urinary catheter in anorectal branch

作　　者：侯辰英[1] 凌艳[1] 谭妍妍[1] 

机构地区：[1]江苏省南京市中医院肛肠科,江苏南京210001

出　　处：《实用临床医药杂志》2013年第2期95-96,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨肛肠科使用镇痛泵患者留置导尿管的最佳时间,应用中西医结合护理方法预防二次尿潴留。方法选择使用镇痛泵并留置导尿管患者50例,运用中西医结合的护理方法对患者进行评估,并采用穴位按揉配合耳穴压豆对患者进行干预,观察患者术后二次感染及二次插管的情况。结果 50例患者中,有1例患者发生二次感染,2例患者因年龄较大及前列腺肥大导致二次插管。结论留置导尿管48 h后拔除,即减轻了患者伤口的疼痛,又避免了二次插管,而运用中西医结合的方法进行护理干预,患者易于接受,减少了导尿发生率。Objective To explore the best time for indwelling urinary catheterization in patients with analgesia pump in anorectal branch and prevent secondary uroschesis by use of nursing method of integrated Traditional Chinese Medicine （TCM） and western medicine. Methods 50 patients with analgesia pump and indwelling urinary catheter were selected, and they were evaluated by nursing method of integrated TCM and western medicine and intervened with acupoint massage and auricular points plaster therapy. Postoperative superinfection and secondary intubation were observed. Results One patient had superinfection ,2 patients had secondary intubation because of senility and prostatomegaly. Conclusion 48 hours later after urinary catheterization, the extubation of indwelling urinary catheter can alleviate sufferings of patients and avoid secondary intubation. Nursing intervention of integrated TCM and western medicine for patients can reduce incidence rate of urethral catheterization.

关 键 词：镇痛泵 尿潴留 循证护理 

分 类 号：R473.6[医药卫生—护理学]